Plan Options
Your Health Plans
South Brunswick School District

Our District medical/prescription plans are offered through Aetna. Our dental plans are through Delta Dental. Below are overviews for the plans available to eligible employees. Please refer to these materials for details about your plan choices. Visit the Contributions page to use the Online Calculators to compare contribution amounts.

Simplified Plan Comparison
Transparency in Coverage Rule: Machine-Readable Files (MRF)

Aetna Medical:

Chapter 44 Reminder: if your start date was on or after July 1, 2020, you must be enrolled in the New Jersey Educators Health Plan (NJEHP) or Garden State Plan (GSP) for medical and prescription coverage. See the below materials for benefits info:

NJEHP/GSP DocFind Search Instructions
NJEHP / GSP Prescription Benefits Overview

Open Access Managed Choice NJEHP:
Plan Booklet / Schedule of Benefits / SBC
Contribution Schedule
Contribution Calculator (download)

Open Access Managed Choice GSP:
Plan Booklet / Schedule of Benefits / SBC
Contribution Schedule
Contribution Calculator

The following plans are available to employees with hire dates prior to July 1, 2020 as eligible:

Open Access Managed Choice $15: Booklet / Schedule of Benefits / SBC
Open Access Managed Choice $20/$30: Booklet / Schedule of Benefits / SBC

Note: the *Savings Plus Plan* is no longer open to new enrollments or changes in coverage.
Open Access Elect Choice Savings Plus: Booklet / Schedule of Benefits / SBC

Resources:
Aetna DocFind: use these instructions to search for providers near you.
Aetna Discount Programs: register / log-in at the Aetna member website to learn about discounts, tools, and more.

Aetna Prescription:
The District offers a prescription plan for eligible employees with $10 Generic / $20 Single Source Brand / $30 Multi-Source Brand copays, plus the NJEHP / GSP prescription plan. Refer to the overviews above for a summary of your prescription benefit.

Note: you are advised to review the below Aetna Drug Guides and PHC Formulary to learn which drugs are covered/not covered. For the latest formulary updates, be sure to check the most recent “plan guide changes” included at the below Aetna links. You can confirm coverage by logging into your Aetna Online Account.

$10/$20/$30 Prescription Plan Formulary (excludes NJEHP / GSP plans): Standard Opt Out Plan Pharmacy Drug Guide
NJEHP / GSP Plan Formulary: High Value Plan Pharmacy Drug Guide
Partnership Health Center (PHC) / IntegrityRx: Drug Formulary

Mail-order drugs are available via CVS Caremark Mail Service Pharmacy; register / log-in at your member website or call (888) 792-3862 to get started; see below flyers for info:

Medication Order Form (English)
Medication Order Form (Spanish)
Mail Service Pharmacy Flyer
Specialty Medications Flyer

Visit the Prescription Drugs page for details on how to save on out-of-pocket prescription costs and more.

Delta Dental:
Eligible employees have access to two dental plan options offered through Delta Dental:
PPO: Booklet / Summary
PPO Plus Premier/Advantage: Booklet / Summary

**Note: these summaries and overviews highlight only the major features of your benefits and are not a contract. In the event of a discrepancy between summaries or overviews and the actual group contract, the contract language prevails.  Services are for illustrative purposes only.